IndividualActive
Taylor Mccorkle
NPI 1417506833 · Behavior Technician · Southlake, TX
Provider details
- NPI number
- 1417506833
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT1984315 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2425 E Southlake Blvd
Southlake, TX 76092-6674
Phone: (817) 442-0222
Fax: (817) 442-0223
Approximate (ZIP-level) locationGet directions
Mailing address
2425 E Southlake Blvd
Southlake, TX 76092-6674
Registry dates
- Enumerated
- 2019-09-09
- Last updated
- 2019-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.